Coder, Provider Practice - Occupational Medicine

Overview

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Work Shift: Day (United States of America)

Scheduled Weekly

Hours:

40

Salary Range: $19.00 - $30.50

Union Position: No

Department Details

Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently. We offer flexible hours and the ability to work remotely. This position involves coding in Systoc, with an option to cross-train in Epic for behavioral health.

Pay starts at $19.00/hr with additional credit given for work experience relative to this role.

• Serve as a resource for providers in understanding covered indications and the supporting documentation.
• Support both technical and professional services in provider clinics as well as Ambulatory Surgery Centers (ASC) and hospital professional services.
• Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
• Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process.
• Monitor and validate physician charge capture.
• Be self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information.
• Participate in coding team meetings and serve as a subject matter expert.
• Review medical documentation from physicians and other healthcare providers; assign modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards.
• Use relevant policies, procedures, and judgment to determine whether events or processes comply with laws, regulations, or standards.
• Provide accurate and timely ICD-10-CM coding, HCPCS and CPT coding, in accordance with official coding standards, regulatory guidelines and company procedures.
• Review and audit medical record documentation to reflect healthcare coding and substantiate appropriate service reimbursement.
• Convey coding guidelines to physicians and other healthcare providers to improve accuracy of medical record documentation.
• Demonstrate computer skills, the ability to interpret, analyze and abstract data/documentation, problem-solving, time management and organizational skills.

• Associate degree in Health Information Technology or Certification in Coding required.
• Specific knowledge of ICD/diagnostic and CPT/HCPCS terminology; coursework in ICD-10-CM, CPT, and HCPCS coding schemes, medical terminology or human anatomy/physiology is preferred.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. If not certified at hire, certification must be obtained within one year of hire.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to talent.